Taiwo Adenike Alli, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95007983 Issued in CA

Practice address

1751 E Garry Ave
Santa Ana, CA 92705-5814

Phone

(877) 896-7350

NPI assigned

Jul 17, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: taiwo.alli.1@30710.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advantmed Provider Network

  • General Practice Physician
  • Irvine, CA
  • NPI 1710409719
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1639655137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 PLANGER LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361023",
            "telephone_number": "909-200-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 E GARRY AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055814",
            "telephone_number": "877-896-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLI",
        "first_name": "TAIWO",
        "middle_name": "ADENIKE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Allen, REGISTERED NURSE
• Shondra Allen
• Sophie Allet
• Ethan Alli
• Moritha S. Alli
• Alliance of Latino Health Services Medical Group Inc
• Alliance Toxicology LLC
• Bradley Leighton Allsman
• Giovanni Almanza
• Alyssa Grace Almaraz

• Family Nurse Practitioner in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.